In vitro-activated tumor-specific T lymphocytes prolong the survival of patients with advanced gastric cancer: a retrospective cohort study
Authors Kuai J, Yang F, Li G, Fang X, Gao B
Received 21 December 2015
Accepted for publication 22 April 2016
Published 23 June 2016 Volume 2016:9 Pages 3763—3770
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 3
Editor who approved publication: Prof. Dr. Geoffrey Pietersz
Jun Kuai,1 Fang Yang,1 Guang-Jun Li,2 Xiang-Jie Fang,3 Bao-Qin Gao2
1Department of Gastroenterology, 2First Department of General Surgery, 3Second Department of General Surgery, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People’s Republic of China
Background: Conventional tumor managements have limited survival benefits and cause severely impaired immune function in patients with advanced gastric cancer (GC) whereas immunotherapies could restore antitumor immunity. This prospective cohort study was aimed at investigating the efficacy of in vitro-activated tumor-specific T lymphocytes combined with chemotherapy on the survival of patients with advanced GC.
Patients and methods: Two hundred and seventy-four postoperative patients were enrolled in this study to receive either activated T lymphocytes immunotherapy combining chemotherapy (71 patients) or only receive postoperative chemotherapy (203 patients). Overall survival was analyzed by the Kaplan–Meier with log-rank test and Cox’s regression methods.
Results: The immunotherapy prolonged 9.8-month median survival for advanced gastric cancer (29.70 vs 19.70 months, P=0.036). Furthermore, immunotherapy significantly benefited the survival of patients who underwent radical, palliative resection, and stage III malignancy. No serious adverse effect was observed in the immunotherapy group.
Conclusion: In vitro-activated tumor-specific T lymphocytes prolonged survival in patients with advanced GC.
Keywords: T lymphocytes, immunotherapy, survival, gastric cancer
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